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"Spruce Tree House" Mesa Verde, Cortez, Colorado

March 21, 2005

Russ Quiring, O.D.



When Should I Have My Child's Eyes Examined For the First Time?

This is a very common question from all moms and dads with youngsters.

FYI: Undetected vision problems can significantly affect a child’s ability to read and learn.

My recommendation is to have your child’s eyes examined for the first time just before entering first grade. What if your child doesn’t know their letters? … No problem. Most offices (including mine) have distance eye charts and near reading cards with recognizable pictures (instead of letters) to determine visual acuity.

However, there are exceptions to my recommendation; your child should be examined before the age of 4 if your family has a history of lazy eyes (amblyopia) and/or wandering eyes (strabismus). Studies show that if a lazy eye is diagnosed and treated before the age of 4 the child can often overcome their lazy eye as they get older and obtain 20/20 vision. Also an early examination is important if your family eye history includes unusual corrections (like one eye’s correction significantly different from the other), significant farsightedness or nearsightedness.

When examining your child, your eye doctor will ensure that your child sees clearly at distance and near, and determine if a vision correction is required. Your doctor will also check for other frequent problems that can interfere with learning, like eye muscle skills, alignment and balance, and evaluate your child’s saccadic eye movements that are utilized while reading. Often, simple eye exercises can be recommended for youngsters to improve eye movement skills.

School vision screenings are usually quite effective for detecting nearsightedness, farsightedness and reduced visual acuity. School screenings are “screenings” and should not be substituted for an eye examination by an Optometrist or Ophthalmologist. In recognizing the importance of detecting vision problems that can affect learning, many states are moving towards mandatory vision examinations as a part of pre-school requirements, such as vaccinations and hearing testing.

The Bottom Line: It is essential that your child has a thorough eye examination before their formal schooling years to ensure that any vision problems are detected, diagnosed and treated to allow for your child’s best learning potential.  ~RQ


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